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Acute non-traumatic arm ischaemia

P Eyers1, J J Earnshaw

  • 1Gloucestershire Vascular Group, Gloucestershire Royal Hospital, Gloucester, UK.

The British Journal of Surgery
|October 22, 1998
PubMed
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Acute arm ischaemia management is safe and effective. An active approach reduces the risk of late symptoms, improving patient outcomes for this condition.

Area of Science:

  • Vascular Surgery
  • Ischaemic Limb Management

Background:

  • Acute arm ischaemia receives less attention than leg ischaemia, despite potential for late symptoms like forearm claudication after conservative treatment.
  • Half of patients may experience late symptoms following conservative management of acute arm ischaemia.

Purpose of the Study:

  • To review English language literature on acute arm ischaemia management.
  • To assess the safety and efficacy of active management strategies for acute arm ischaemia.

Main Methods:

  • Comprehensive literature search of the Medline database and other references.
  • Review of all published English language data on acute arm ischaemia.
  • No randomized or controlled studies were identified.

Main Results:

Related Experiment Videos

  • Acute arm ischaemia is one-fifth as common as acute leg ischaemia, with patients typically older (mean age 74).
  • Successful circulation restoration achieved in 65-94% of patients via embolectomy under local anaesthesia.
  • Amputation rates ranged from 0-18%, and mortality from 0-19%, often due to associated cardiac disease.

Conclusions:

  • Active management of acute arm ischaemia is a safe and effective strategy.
  • An active approach significantly reduces the incidence of late disabling symptoms.